21D2202194 CLIA NUMBER - SUMMERVILLE I LLC BROOKDALE WOODWARD ESTATES

Laboratory Demographics

  • CLIA Code: 21D2202194
  • Facility Name: SUMMERVILLE I LLC BROOKDALE WOODWARD ESTATES
  • Facility Address: 14997 HEALTH CENTER DRIVE
    BOWIE, MD
    ZIP 20716
  • Facility Phone: 301 464-4400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: IRENE BAYER
  • NPI Number: 1336376466
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2202194
LAB Type Assisted Living Facility
Facility Name SUMMERVILLE I LLC BROOKDALE WOODWARD ESTATES
Street 14997 HEALTH CENTER DRIVE
City BOWIE
State MD
ZIP 20716
Phone 301 464-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Assisted Living Facility
Lab Director IRENE BAYER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025